Claim Information [MLC]

Claim information is as follows. The required information is bold. You may choose to upload information for Litigation, Smoking History, or Exposure History or all of them at once. Please see the requirements for each section.

• • AttorneyID

    • this is provided by CRMC

  • ContactID

    • this is provided by CRMC

  • CopyDocs

    • Yes or No. Will copy all available medical documents that the claimant may already have on file to the newly created claim.

  • First Diagnosis Date

  • Jurisdiction State/Country

    • *if no suit was ever filed against Old GM, identify the US State CD or Country CD for the basis of jurisdiction

  • Jurisdiction Election Basis

    • valid options are :

      • PlaceOfExposure

      • CurrentResidence

      • ResidentAtTimeOfDeath

      • ResidenceAtTimeOfDiagnosis

  • Valuation Option

    • valid options are:

      • ER

        • Expedited Review

      • IR

        • Individual Review

  • Processing ElectionCD

    • valid options are:

      • AM

        • Auto Mechanic Claim

      • OTH

        • Other Claim

  • Old/New GM Litigation Information

    • • see about Litigation Information here

  • AllegedDiseaseCD

    • • more about AllegedDisease here

  • Processing and Payment info i) Filed Debtor Date

    • (i) the date prior to the Commencement Date that the specific claim was either filed against a Debtor in the tort system or was actually submitted to a Debtor pursuant to an administrative settlement agreement.

  • Processing and Payment Info ii) Filed Other Pre Date

    • (ii) the date before the Commencement Date that the asbestos claim was filed against another defendant in the tort system if at the time the claim was subject to a tolling agreement with a Debtor.

  • Processing and Payment Info iii) Filed Other Post Date

    • (iii) the date after the Commencement Date but before April 20, 2012 that the asbestos claim was filed against another defendant in the tort system.

  • Processing and Payment Info iv) POC Chapt11 Date

    • (iv) the date after the Commencement Date but before March 31, 2011 that a proof of claim was filed by the claimant against a Debtor in the Chapter 11 proceeding.

  • Processing and Payment Info v) Ballot Date

    • (v) the date a ballot was submitted on behalf of the claimant for purposes of voting to accept or reject the Plan pursuant to the voting procedures approved by the Bankruptcy Court.

  • AffirmPOCReview

    • valid options are Yes or No

      • data field to indicate that before filing this claim you have reviewed the proof of claim form

  • Economic Loss Claim

    • Yes or No

  • Employment Status

    • valid options are below, you may include multiple options separated by commas; for example: "Retired, Partially_Disabled" is valid.

      • Full_Time

      • Part_Time

      • Retired

      • Partially_Disabled 

      • Totally_Disabled 

      • Deceased

  • Amount of Last Annual Wages

  • Date Last Wages Received

  • Exposure Information

    • see about Exposure Information here